Organization
FREEDOM PAIN CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RINOO V SHAH MD (MD/OWNER)
(917) 676-7564
Entity
Organization
Contact information
Practice address
390 N BROADWAY, SUITE 300, PENNSVILLE, NJ 08070-1253
(917) 676-7564
Mailing address
PO BOX 389, PENNSVILLE, NJ 08070-0389
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NJ
Enumeration date
08/28/2008
Last updated
08/28/2008
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